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1669197208
NGUFOR FUBE DIVINE
COLUMBIA, MD
NPI
1669197208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: DC NP1059918)
Enumeration Date
2022-10-06
Last Update Date
2024-07-26
Business Address
Dr. NGUFOR FUBE DIVINE CRNP-PMH
8210 JEREMIAH LN
COLUMBIA, MD 21044-4165
Phone number: 240-423-8757
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Mailing Address
Dr. NGUFOR FUBE DIVINE CRNP-PMH
8210 JEREMIAH LN
COLUMBIA, MD 21044-4165
Phone number: 240-423-8757
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